Podcasts about serious illness

Ask Rachel anythingParenting tweens and teens is challenging enough, but when someone in the family becomes seriously ill or dies, it can feel overwhelmingly difficult. In all honesty, we Westerners are terrible at talking about death, often avoiding it, so when it comes to talking with teenagers about the subject most of us don't feel equipped.Many who have suffered a loss, or are suffering a serious illness will tell you that friends often fall away just at the time when they are most valued, because they're embarrassed or uncomfortable about the situation.In this episode we draw on research, personal experience - and some incredible listener feedback - to discuss how to deal with a serious illness or death when you're raising a teen. We pass on some amazing tips that have made all the difference, and also some awful 'what not to do's'.The episode is dedicated to the wonderful mum, Sophie Baker and her loving husband and boys, who did an amazing job in very difficult circumstances.BOOKS:When Breath Becomes Air by Paul KalanithiThe Bright Hour by Nina RiggsYou Can Stop Humming Now by Daniela LamasBeing Mortal by Atul GawandeSmoke gets in your Eyes by Caitlin DoughtyThe Choice by Edith Eger Support for kids and young people who are bereaved:https://winstonswish.org/https://hospiceofnorthidaho.org/wp-content/uploads/2014/04/Supporting-a-Teen-When-Someone-is-Seriously-Ill.pdfhttps://www.hospiscare.co.uk/how-we-help/advice-support/children-and-young-people/how-to-talk-about-death-with-children-and-teenagers/https://thegoodgriefproject.co.uk/https://yourteenmag.com/health/teenager-mental-health/how-to-talk-about-deathhttps://whatsyourgrief.com/helping-a-teenager-deal-with-grief-2/https://elunanetwork.org/resources/talking-to-teens-and-children-about-illness-and-deathhttps://www.strong4life.com/en/emotional-wellness/emotional-expression/talking-to-kids-and-teens-about-deathhttps://www.todaysparent.com/family/talking-about-death-with-kiSupport the showPlease hit the follow button if you like the podcast, and share it with anyone who might benefit. You can review us on Apple podcasts by going to the show page, scrolling down to the bottom where you can click on a star then you can leave your message. Please don't hesitate to seek the advice of a specialist if you're not coping. There's no shame in reaching out for support. When you look after yourself your entire family benefits.My email is teenagersuntangled@gmail.com My website has a blog, searchable episodes, and ways to contact me:www.teenagersuntangled.comFind me on Substack: https://teenagersuntangled.substack.com/Instagram: https://www.instagram.com/teenagersuntangled/Facebook: https://m.facebook.com/teenagersuntangled/You can reach Susie at www.amindful-life.co.uk

Send us Fan MailVirtual reality can feel like a toy until you hear what it does for pain, fear, and the kind of suffering that medication cannot touch.In this Part Two episode of TCNtalks / Anatomy of Leadership, Chris Comeaux sits down with Dr. Kathleen Benton, CEO of Hospice of Savannah, and VR healthcare pioneer Teri Yarbrow, Founder & CEO of Magika VRx, to explore how virtual reality in healthcare, hospice care, and palliative care are evolving through immersive technology. Learn how VR therapy is being used to reduce pain, anxiety, and emotional distress in patients facing serious illness and end-of-life care.They talk data, not hype: peer reviewed research, standards organizations like AMXRA, and real clinical adoption from pediatric programs to large scale international work. Then we narrow the lens to hospice and palliative care where the stakes are personal, exploring how VR can reduce pain, anxiety, and distress, and how it may help patients rely less on medications in day to day symptom management. We also dig into an unexpected outcome many teams report: awe inducing content that creates self transcendent experiences, easing existential distress and helping people reconnect with meaning, purpose, and peace.Care does not stop with the patient, so we also look at caregiver and clinician support, including burnout relief, respite room use, and what happens when the patient cannot wear a headset but the family in the room needs help coping. Finally, we look ahead to lighter devices, immersive rooms, and the idea of a curated “VR pharmacy” where clinicians prescribe specific experiences for specific needs.What begins as a conversation about medical virtual reality quickly becomes something deeper—about awe, spirituality, and the human experience at the end of life.In this episode:* The growing research and credibility of Virtual Reality in medicine* Real-world palliative care pilot results and pain reduction* Neuropathic pain relief when medications fall short* Awe and self-transcendent experiences in patient care* Supporting clinicians with burnout and emotional fatigue* Helping families process grief through immersive experiences* The future of Virtual Reality in healthcare and the “VR pharmacy” modelThis episode highlights how immersive VR is becoming evidence-based care—restoring presence, identity, and dignity when it matters most.Guest:Kathleen Benton, Chief Executive Officer, Hospice Savannah, Inc. and Co-Author of the book, Virtual Reality for Serious IllnessTeri Yarbrow, the Founder of "Creating AWE", President of Magika VRx and Co-Author of the book, Virtual Reality for Serious IllnessHost:Chris Comeaux, President / CEO of TELEIOS / author of The Anatomy of Leadership

Virtual reality can feel like a toy until you hear what it does for pain, fear, and the kind of suffering that medication cannot touch. In this Part Two episode of TCNtalks / Anatomy of Leadership, Chris Comeaux sits down with Dr. Kathleen Benton, CEO of Hospice of Savannah, and VR healthcare pioneer Teri Yarbrow, Founder & CEO of Magika VRx, to explore how virtual reality in healthcare, hospice care, and palliative care are evolving through immersive technology. Learn how VR therapy is being used to reduce pain, anxiety, and emotional distress in patients facing serious illness and end-of-life care.They talk data, not hype: peer reviewed research, standards organizations like AMXRA, and real clinical adoption from pediatric programs to large scale international work. Then we narrow the lens to hospice and palliative care where the stakes are personal, exploring how VR can reduce pain, anxiety, and distress, and how it may help patients rely less on medications in day to day symptom management. We also dig into an unexpected outcome many teams report: awe inducing content that creates self transcendent experiences, easing existential distress and helping people reconnect with meaning, purpose, and peace.Care does not stop with the patient, so we also look at caregiver and clinician support, including burnout relief, respite room use, and what happens when the patient cannot wear a headset but the family in the room needs help coping. Finally, we look ahead to lighter devices, immersive rooms, and the idea of a curated “VR pharmacy” where clinicians prescribe specific experiences for specific needs.What begins as a conversation about medical virtual reality quickly becomes something deeper—about awe, spirituality, and the human experience at the end of life.In this episode:* The growing research and credibility of Virtual Reality in medicine* Real-world palliative care pilot results and pain reduction* Neuropathic pain relief when medications fall short* Awe and self-transcendent experiences in patient care* Supporting clinicians with burnout and emotional fatigue* Helping families process grief through immersive experiences* The future of Virtual Reality in healthcare and the “VR pharmacy” modelThis episode highlights how immersive VR is becoming evidence-based care—restoring presence, identity, and dignity when it matters most.Guest:Kathleen Benton, Chief Executive Officer, Hospice Savannah, Inc. and Co-Author of the book, Virtual Reality for Serious Illness Teri Yarbrow, the Founder of "Creating AWE", President of Magika VRx and Co-Author of the book, Virtual Reality for Serious IllnessHost:Chris Comeaux, President / CEO of TELEIOS / author of The Anatomy of Leadership

Send us Fan MailWhat if some of the most meaningful moments at the end of life could still be experienced—no matter the physical limitations?In this episode, Kathleen Benton and VR innovator Teri Yarbrow reveal how virtual reality is reshaping hospice and palliative care by restoring something often lost in modern medicine—human experience. As care becomes increasingly clinical and documentation-driven, VR creates space for patients to reconnect with meaning, beauty, and identity beyond their diagnosis.The impact is rooted in how the brain responds to immersion. Through presence (feeling transported), embodiment (shifting out of “patient” identity), and agency (regaining choice), VR helps reduce pain and anxiety while restoring a sense of control. For patients who can no longer travel, move, or explore, these experiences are not trivial—they are transformative.The stories are powerful. A hospice patient skydives. An ALS patient explores space. A fragile palliative care patient surfs and leaves with renewed energy. Each moment underscores a critical insight: when experiences are thoughtfully matched to a patient's emotional state, VR becomes a form of care—not just distraction.At its deepest level, this work is about awe. The feeling of encountering something bigger than ourselves—oceans, stars, vast landscapes—can bring peace, perspective, and even spiritual grounding. Through VR, awe becomes accessible at the bedside, reminding patients that even in limitation, there is still room for connection, beauty, and meaning.Highlights:VR is emerging as a powerful tool in hospice and serious illness careThree mechanisms drive its impact: presence, embodiment, and agencyReal patient stories demonstrate measurable emotional and physical benefitsMatching VR experiences to patient needs is key to effectivenessAwe is not a luxury—it's a therapeutic necessity at the end of lifeGuest:Kathleen Benton,  Chief Executive Officer, Hospice Savannah, Inc. and Co-Author of the book, Virtual Reality for Serious Illness; Teri Yarbrow, Founder of "Creating AWE", President of Magika VRx and Co-Author of the book, Virtual Reality for Serious Illness Host:Chris Comeaux, President / CEO of TELEIOS, author of The Anatomy of LeadershipThe Anatomy of Leadership podcast explores the art and science of leadership through candid, insightful conversations with thought leaders, innovators, and change-makers from a variety of industries. Hosted by Chris Comeaux, each episode dives into the mindsets, habits, and strategies that empower leaders to thrive in complex, fast-changing environments. With topics ranging from organizational culture and emotional intelligence to navigating disruption and inspiring teams, the show blends real-world stories with practical takeaways. The goal is simple yet ambitious: to equip leaders at every level with the tools, perspectives, and inspiration they need to lead with vision, empathy, and impact.https://www.teleioscn.org/anatomy-of-leadership

What if some of the most meaningful moments at the end of life could still be experienced—no matter the physical limitations?In this episode, Kathleen Benton and VR innovator Teri Yarbrow reveal how virtual reality is reshaping hospice and palliative care by restoring something often lost in modern medicine—human experience. As care becomes increasingly clinical and documentation-driven, VR creates space for patients to reconnect with meaning, beauty, and identity beyond their diagnosis.The impact is rooted in how the brain responds to immersion. Through presence (feeling transported), embodiment (shifting out of “patient” identity), and agency (regaining choice), VR helps reduce pain and anxiety while restoring a sense of control. For patients who can no longer travel, move, or explore, these experiences are not trivial—they are transformative.The stories are powerful. A hospice patient skydives. An ALS patient explores space. A fragile palliative care patient surfs and leaves with renewed energy. Each moment underscores a critical insight: when experiences are thoughtfully matched to a patient's emotional state, VR becomes a form of care—not just distraction.At its deepest level, this work is about awe. The feeling of encountering something bigger than ourselves—oceans, stars, vast landscapes—can bring peace, perspective, and even spiritual grounding. Through VR, awe becomes accessible at the bedside, reminding patients that even in limitation, there is still room for connection, beauty, and meaning.Highlights:VR is emerging as a powerful tool in hospice and serious illness careThree mechanisms drive its impact: presence, embodiment, and agencyReal patient stories demonstrate measurable emotional and physical benefitsMatching VR experiences to patient needs is key to effectivenessAwe is not a luxury—it's a therapeutic necessity at the end of lifeGuest:Kathleen Benton,  Chief Executive Officer, Hospice Savannah, Inc. and Co-Author of the book, Virtual Reality for Serious Illness; Teri Yarbrow, Founder of "Creating AWE", President of Magika VRx and Co-Author of the book, Virtual Reality for Serious Illness Host:Chris Comeaux, President / CEO of TELEIOS, author of The Anatomy of LeadershipTeleios Collaborative Network   /   https://www.teleioscn.org/tcntalkspodcast

Stephen Grootes speaks to Discovery Life Deputy CEO Gareth Friedlander about how Discovery Life’s latest data reveals the impact of personalised health pathways, early cancer detection, and the growing financial rewards linked to proactive screening and Vitality engagement. The Money Show is a podcast hosted by well-known journalist and radio presenter, Stephen Grootes. He explores the latest economic trends, business developments, investment opportunities, and personal finance strategies. Each episode features engaging conversations with top newsmakers, industry experts, financial advisors, entrepreneurs, and politicians, offering you thought-provoking insights to navigate the ever-changing financial landscape.    Thank you for listening to a podcast from The Money Show Listen live Primedia+ weekdays from 18:00 to 20:00 (SA Time) to The Money Show with Stephen Grootes broadcast on 702 https://buff.ly/gk3y0Kj and CapeTalk https://buff.ly/NnFM3Nk For more from the show, go to https://buff.ly/7QpH0jY or find all the catch-up podcasts here https://buff.ly/PlhvUVe Subscribe to The Money Show Daily Newsletter and the Weekly Business Wrap here https://buff.ly/v5mfetc The Money Show is brought to you by Absa     Follow us on social media   702 on Facebook: https://www.facebook.com/TalkRadio702 702 on TikTok: https://www.tiktok.com/@talkradio702 702 on Instagram: https://www.instagram.com/talkradio702/ 702 on X: https://x.com/CapeTalk 702 on YouTube: https://www.youtube.com/@radio702   CapeTalk on Facebook: https://www.facebook.com/CapeTalk CapeTalk on TikTok: https://www.tiktok.com/@capetalk CapeTalk on Instagram: https://www.instagram.com/ CapeTalk on X: https://x.com/Radio702 CapeTalk on YouTube: https://www.youtube.com/@CapeTalk567 See omnystudio.com/listener for privacy information.

In this episode, Dr. Narayana Murali, Chief Medical Officer of Medicine Services and Professor at Geisinger College of Health Sciences, shares how Geisinger redesigned its approach to advanced care planning, increasing engagement from 5% to nearly 50% among high risk seniors. He also discusses driving physician and APP alignment, scaling high reliability and zero harm principles, and expanding home based care to deliver compassionate, patient centered outcomes.

In this episode, Dr. Narayana Murali, Chief Medical Officer of Medicine Services and Professor at Geisinger College of Health Sciences, shares how Geisinger redesigned its approach to advanced care planning, increasing engagement from 5% to nearly 50% among high risk seniors. He also discusses driving physician and APP alignment, scaling high reliability and zero harm principles, and expanding home based care to deliver compassionate, patient centered outcomes.

In this powerful episode we chat with , palliative care social worker Dr. Arden O'Donnell, PhD, MPH, LICSW, APHSW-C about what it means to live—and die—according to our values. Dr. O'Donnell shares insights from over a decade of work supporting patients and families facing serious illness. The conversation examines the vital role of palliative care social workers in helping people navigate complex medical decisions, communicate their wishes, and maintain dignity at the end of life. Through real-world experience and reflection, Dr. O'Donnell discusses why early, honest conversations matter and how dying can be a conscious, meaningful part of living. 

Neurologists are privileged to act as guides for patients as they navigate the complex course of serious neurologic illnesses. Because of the impact on quality of life, personhood, and prognosis, neurologists must be able to conduct serious-illness conversations to improve rapport, reduce patient anxiety and depression, and increase the likelihood that treatment choices agree with patient goals and values. In this episode, Teshamae Monteith, MD, FAAN speaks with Jessica M. Besbris, MD, author of the article "The Approach to Serious-Illness Conversations" in the Continuum® December 2025 Neuropalliative Care issue. Dr. Monteith is the associate editor of Continuum® Audio and an associate professor of clinical neurology at the University of Miami Miller School of Medicine in Miami, Florida. Dr. Besbris is an assistant professor of neurology and internal medicine, and the director of the neuropalliative care, at Cedars-Sinai Medical Center in Los Angeles, California. Additional Resources Read the article: The Approach to Serious-Illness Conversations Subscribe to Continuum®: shop.lww.com/Continuum Earn CME (available only to AAN members): continpub.com/AudioCME Continuum® Aloud (verbatim audio-book style recordings of articles available only to Continuum® subscribers): continpub.com/Aloud More about the American Academy of Neurology: aan.com Social Media facebook.com/continuumcme @ContinuumAAN Host: @headacheMD Guest: @JessBesbris Full episode transcript available here Dr Jones: This is Dr Lyell Jones, Editor-in-Chief of Continuum. Thank you for listening to Continuum Audio. Be sure to visit the links in the episode notes for information about earning CME, subscribing to the journal, and exclusive access to interviews not featured on the podcast. Dr Monteith: Hi, this is Dr Teshamae Monteith. Today I'm interviewing Dr Jessica Besbris about her article on the approach to serious illness conversation, which is found in the December 2025 Continuum issue on neuropalliative care. How are you? Dr Besbris: I'm doing great. Thank you so much for having me here today. Dr Monteith: Well, thank you for being on our podcast. Dr Besbris: My pleasure. Dr Monteith: Why don't we start off with you introducing yourself? Dr Besbris: Sure. So, my name is Jessica Besbris. I am a neurologist with fellowship training in palliative care, and I am currently at Cedars Sinai Medical Center in Los Angeles, where I am the director of our neuropalliative care program. Dr Monteith: Excellent. So, how did you get involved in that? Dr Besbris: Like, I think, many neurologists, I always knew I wanted to be a neurologist---or, I should say, from the moment I decided to be a doctor I knew that that was the type of doctor I wanted to be, a neurologist. So, I went into medical school with the aim of becoming a neurologist. And very quickly, when I started my clinical years, I was exposed to patients who were living with very serious illnesses. And I found myself really drawn to opportunities to help, opportunities to make people feel better, opportunities to improve quality of life in situations that on the face of it seemed really challenging, where maybe it seemed like our usual treatments were not necessarily the answer or were not the only answer. And so, I pretty quickly recognized that taking care of patients with serious illness was going to be a big part of my life as a neurologist and that palliative care was the way I wanted to help these patients and families. Dr Monteith: And you mentioned you're leading the group. So, how many colleagues do you have in the program? Dr Besbris: We have a very large palliative care group, but within neuropalliative care, it's myself and one other physician, a nurse practitioner, and a social worker. Dr Monteith: Okay, well, I know you guys are busy. Dr Besbris: Yes, we are very happy to be busy. Dr Monteith: Yes. So, let's talk about the objectives of your article. Dr Besbris: Sure. So, the goal of this article is to impress upon neurologists that it really is all of our jobs as neurologists to be having these conversations with our patients who are affected with serious illness. And then, in most areas of neurology, these conversations will come up. Whether it's giving a life changing diagnosis, or talking about treatment choices, or treatment not going the way that we had hoped, or even sometimes progression of disease or end-of-life care. These topics will come up for most of us in neurology, and really, we're hoping that this article not only makes the case that neurologists can and should be having these conversations, but that there are skills that we can teach in this article and with other resources to improve the skill level and sense of confidence that neurologists have when they enter into these conversations. Dr Monteith: Great. I read that there are some developments in the field, on organizational levels, about really making these skills part of standard of care in terms of education. So, can you speak to that? Dr Besbris: Yes. So, there have been a couple of really landmark papers and changes in the educational landscape that I think have really brought neuropalliative care in general, and serious illness conversation in particular, to the forefront. So, there were the position statements released by the American Academy of Neurology in 1996 and 2022, both of which really said, hey, all neurologists should be doing this and receive training on how to have these conversations and provide this care. And the ACGME, the Accreditation Council for Graduate Medical Education, also requires neurology residency programs to learn how to communicate with patients and families, assess goals, and talk about end-of-life care. So, there's a real structural imperative now for neurologists to learn early on how to have serious illness conversations with their patients. Dr Monteith: Great. If there's anything for our listeners to get out of this conversation, what are the essential points? Dr Besbris: If you only take away one or two things from this conversation, I hope that they're that this is an awesome responsibility to be in a moment with a patient going through something challenging, to meet them in that moment with thoughtful, honest, empathic conversations about who they are and what's important to them. And that, just like any other procedure, these are skills that can be taught so that you can feel really confident and comfortable being in these moments. Dr Monteith: Excellent. Wow. Okay, I feel your energy and your empathy already. And so, why don't we just talk about skills? What is the best way to deliver tough news? I read this wonderful chart on SPIKES protocol. Dr Besbris: Yeah, the SPIKES protocol is one really well-known way to deliver serious news. And what's nice about SPIKES is it gives a mnemonic. And as neurology learners, we all love a good mnemonic to help you really center yourself when you're entering into these conversations so that you have a structured format to follow, just like with any procedure. So, the SPIKES protocol stands for Setting: so, making sure you have the right environment; Perception, or assessing what your patient or surrogate decision maker knows already so that you know where to begin; receiving an Invitation to deliver serious news. And then K stands for Knowledge, delivering in a clear and concise way the information that you want to make sure the family or patient walk away with. E for exploring Emotion; and S for really Summarizing what's been discussed and Strategizing on next steps. I think that having these kinds of conversations, it's just like being expert in anything. When you first start learning, it's helpful to have a set of very concrete steps you can follow. And you might even think through the mnemonic as you get ready to walk into that room. And as you become more expert, the flow becomes more natural. And maybe what you do before walking in to prepare is just honing what is that headline? What is that concise statement that I'm really going to give? And the rest may start to feel more natural and less protocolized. Dr Monteith: And there are a few other mnemonics. There's the NURSE mnemonic, which I like. You know, there's a balance between saying things and sounding kind of… you know, sometimes they're like, well, how could you understand what I'm going through? Have you been through something like this? And people shy away, and they're afraid to kind of be a part of these conversations. So how do we approach that with this, a NURSE mnemonic in a way that's kind of sincere? Dr Besbris: Absolutely. So, the NURSE mnemonic, unlike SPIKES, is not a step-by-step protocol. So, NURSE is a mnemonic, but you don't go through each letter and sort of give a naming statement and then an understanding statement and then a respecting statement and so on. Nurse is really a toolkit of different types of statements that we can give in response to emotions so that when you find yourself in a situation where a patient or family member is tearful, is scared, is angry, is expressing feelings, you have some phrases ready that feel authentic to you and that you feel are going to meet the moment and allow you to empathically respond to those emotions. Because until we do that, we really can't move further in this conversation with our patients and families feeling heard and respected. So, that NURSE mnemonic, those Naming, Understanding, Respecting, Supporting and Exploring statements, are really examples of statements that we can use to meet that moment with empathy and understanding and without implying that we have walked in their shoes. We want to avoid being presumptuous and really focus on just being present and empathic. Dr Monteith: So, let's just kind of run through, I think it's really important. Let's run through some of these examples. Maybe if someone's crying hysterically, how would we respond to that? Dr Besbris: So, this is an opportunity for Naming. And I made this one, I think, in the chart, a little bit obvious, meaning that we recognize when someone is crying that they are feeling probably very sad. This is an opportunity for us to name and thus normalize that emotion. I just think something as simple as, I think anyone would be really sad hearing this. These responses are not intended to fix this emotion. I'm not trying to get someone to stop crying or to, you know, necessarily not feel sad. It's really just to say, yeah, it's normal that you're feeling sad. It's okay. I'm here with you while you're feeling sad. And I'm going to be with you no matter what you're bringing to the table. Dr Monteith: Yeah. Let's go through just a couple of others. I mean, these are really good. Dr Besbris: Sure. Maybe Respecting. Dr Monteith: Yeah. So, my Dad is a fighter. Only God, not doctors, can know the future. Dr Besbris: Yeah. So, I love giving these examples with our learners because these statements, things like my Dad is a fighter or God will bring me a miracle or you don't know the answer. Only God knows what's going to happen, I think that they give a lot of doctors a feeling of confrontation, a feeling of anxiety. And I think there are a few reasons for that. And I think one of the main ones is that they're statements that imply that we as doctors are not all-powerful and it's our patients or families sort of looking for a different locus of control, whether it's internal fortitude or a higher power. They're looking to something other than us, and maybe that makes us feel a little bit uncomfortable. And I think that sometimes physicians think that these statements imply that someone doesn't even understand what's going on. But maybe they're coming to this from a place of denial. And I would argue that when someone comes to you with a statement like my dad is a fighter or, you know, I'm looking to God to bring me a miracle or to show me the future. I think that what they're really saying is, wow, I'm really hearing that things are serious, so much so that I'm reaching for these other resources to give me strength and hope. I don't think anyone asks for a miracle if they think that a miracle is not needed, if the problem is easy to fix. And so, rather than come to these types of statements from a confrontational place of I'm the doctor and I know best, I think this is a great opportunity to show some respect and give some respecting statements. Your dad is a fighter. I don't think he could have come this far without being a fighter. Or, you know, I am so grateful that you have your faith to lean on during times like these to give you strength. These are also nice opportunities for exploring statements. For example, I'm so grateful to learn more about your dad. Can you tell me what it is that he has been fighting for all of this time? Dr Monteith: I love that. It's like a follow-up, and also validating. Dr Besbris: Yeah, it's validating. And it allows us to learn a little bit more about this person and to learn, well, is he fighting for a life that we can still achieve with our interventions to lead into the next part of a conversation? Or, is God is going to bring me a miracle? Well, tell me what a miracle looks like for you. I can't tell you how many times I thought someone was going to tell me that a miracle would be cure. And sometimes that is what comes up. But other times I hear, a miracle would be, you know, my loved one surviving long enough for the rest of the family to gather. And, you know, that is certainly something we can work towards together. Dr Monteith: So, why don't we talk a little bit about approach to goals of care discussions? They are tough, and let's just put it into perspective to the critical care team. It's time, the person's been in the ICU, the family wants everything thrown at medically. And it's to the point that the assessment is that would be medical futility. Dr Besbris: Lots to unpack there. Dr Monteith: I wanted to make it hard for you. Dr Besbris: No, no, this is good! I mean, this is something- I work in a, you know, almost one thousand-bed hospital with a massive critical care building. And so, these are not unusual circumstances at all. First of all, I would just say that goals of care conversations are not only about end-of-life care. And I make that point a few different times in the article because I think when people imagine goals of care, and one of the reasons that I think clinicians may sometimes shy away from goals of care discussions, is that they think they have to be sad, they have to be scary, they have to be about death and dying. And I would argue that, really, goals of care discussions are about understanding who a person is, how they live their life, what's most important to them. Most of these conversations should be about living. How are we going to together achieve a quality of life that is meaningful for you and treatments that are going to fit your needs and your preferences? But there is a little slice of that pie in the pie chart of goals of care discussions that is in the arena of end-of-life care. For example, ICU care with, really, the highest levels of intensity of care, and having to talk about whether that still is meeting the moment from the perspective of goals as well as the perspective of efficacy. So, from the goals standpoint, I approach these conversations just like any other goals of care conversation. Usually at this point, we're speaking to family members and not our patients because in a neurocritical care unit, if someone is that sick, they probably are incapacitated. And so, it's a moment to really sit down with family and say, please tell me about the human being lying in that bed. They can't introduce themselves. What would they tell me about themselves if they could speak right now? What kinds of things were important to them in the course of their treatment? What kind of a life did they want to live or do they want to live? So that then we can reflect on, well, can our treatment achieve that? And this process is called shared decision making. This is really where we take in data from the family, who are experts in the patient, and then our own expertise in the illness and what our treatments can achieve, and then bring all of that information together to make a recommendation that aligns with what we believe is right for a particular patient.  So, in the example that you gave, the extreme circumstance where someone is receiving maximal intensive care and we're starting to reach the point of futility, I think that we need to first really understand, well, what does futility mean for this particular patient? Is it that we as healthcare providers would not value living in the state this person is in? Or is it that the treatments truly cannot physiologically keep them alive or meet their stated goals? If it's the first one, that I wouldn't want to be on machines unconscious, you know, at the end of my life, well, I have to set that aside. It's really about what this patient wants. and if the family is telling you they valued every breath, every moment, and if we have care that can achieve that, we should continue to offer and recommend that care. And as healthcare providers, it is so important that we do explain when treatments are not going to be able to physiologically meet a patient's needs or achieve their goals. And that's where we can say, I'm going to continue to do everything I can, for example, to, you know, keep your loved one here for these meaningful moments. And we are at a point where performing CPR would no longer be able to restart his heart. And I just wanted to let you know that that's not something that we're going to do because I have an obligation not to provide painful medical treatments that will not work. So, my approach to futility is really different than my approach to shared decision-making because in the context of objective futility, it's not about necessarily- it's not about decision-making, it's not about shared decision-making as much as it is explaining why something is simply not going to work. Does that make sense? Dr Monteith: Absolutely. And what I love in your article is that, you know, you go beyond the skills, but also potential communication challenges---for example, patients' neurologic status, their ability to understand complex communication, or even cultural differences. So, can you speak about that briefly? Dr Besbris: Absolutely. In the world of neurological serious illness, it is incredibly common for our patients to face challenges in communication. That might be because they are aphasic, because they have a motor speech deficit, it might be because they're intubated, it might be because their capacity is diminished or absent. And so, there are a lot of challenges to keeping patients in these conversations. And in the article, I summarize what those challenges can look like and some strategies that we can use to continue to engage our patients in these conversations to the greatest extent possible and also turn to their surrogate decision makers where the patients themselves are no longer able to participate or participate fully. In terms of cultural considerations, I mean, there could be an entire article or an entire Continuum just on cultural considerations in neurology and in serious illness communication. And so, the key points that I really tried to focus on were exploring from a place of cultural humility what the beliefs and practices of a particular patient and family are in their cultural context, to ask questions to help you understand how those cultural differences may impact the way you approach these conversations. And being sensitive to folks with limited English proficiency, to ensure that we are using medical interpreters whenever possible. Dr Monteith: Excellent. Well, there's so much in the article. There's already so much that we just discussed, but our listeners are going to have to go to the article to get the rest of this. I do want to ask you to just kind of reflect on, you know, all the different cases and experiences that you have, and just, if you can give us a final remark? Dr Besbris: I can think of a number of cases that I've seen in my work as both an inpatient and outpatient neuropalliative provider where I've seen patients after strokes in the hospital with uncertain prognosis, whose families were struggling with a decision around feeding tubes. And where we have made a determination based on goals; for example, to pursue what's called a time-limited trial, to say let's place a feeding tube, let's meet again in the clinic in a few months after some rehab and let's just see, is this meeting this patient 's goals and expectations? I have been pleasantly surprised by the number of patients who have walked into my office after a period of rehabilitation who have regained the ability to eat, who are living an acceptable quality of life, and who have expressed gratitude for the work that I did in eliciting their goals, helping support their families. And some of whom have even come in and said, now that I'm doing better, I'd really like to do an advance directive to better guide my family in the future. People asking for more goals of care discussions, having seen how successful and helpful these conversations have been. Dr Monteith: Great. That's really life-altering for that patient, the family, so many people. Thank you so much for the work you do and for writing this great article and sharing all of this that we really need to learn more about. Dr Besbris: It's been a privilege. Thank you so much for talking with me today. Dr Monteith: Today I've been interviewing Dr Jessica Besbris about her article on the approach to serious illness conversation, which is found in the December 2025 Continuum issue on neuropalliative care. Be sure to check out Continuum Audio episodes from this and other issues. And thank you to our listeners for joining today. Dr Monteith: This is Dr Teshamae Monteith, Associate Editor of Continuum Audio. If you've enjoyed this episode, you'll love the journal, which is full of in-depth and clinically relevant information important for neurology practitioners. Use the link in the episode notes to learn more and subscribe. AAN members, you can get CME for listening to this interview by completing the evaluation at continpub.com/audioCME. Thank you for listening to Continuum Audio.

In our new feature ‘Vulnerability Voices', we'll be hearing directly from customers about their lives, circumstances, and interactions with essential services. Today, Anne and Robert explain to Michael Hilton from Three Hands Insight how serious illness has reshaped their personal and financial lives.

Step inside one of the wildest careers in modern British cooking as we sit down with Tommy Banks, once the youngest British Michelin starred chef, Great British Menu champion, author, farmer, preservation obsessive, cricket prodigy in a past life, and the man behind both The Black Swan at Oldstead and Roots in York. From hand milking cows on a tiny family farm to being crowned TripAdvisor's number one restaurant in the world, Tommy charts the long, strange path that took him from near-empty dining rooms to global recognition. Along the way we hear about the early days of The Black Swan, complete with RAF chefs who bullied teenage Tommy at the sink, and his twenty-something imposter syndrome phase where he cheerfully admits to cooking straight out of Phil Howard's cookbook before finding his own style.The stories in this episode are the stuff of modern kitchen folklore. Tommy talks us through the heartbreaking illness at eighteen that ended his cricket dreams, the fierce work ethic that followed, and the moment Kenny Atkinson sat down for dinner and told him he had to get on Great British Menu. We hear about the ferocious creativity behind his fermentation rooms, the Douglas fir desserts, the legendary crab and beetroot dish, and the umeboshi-style strawberries now copied across the country. There is also the infamous pie-van heist that turned into a national news frenzy with Tommy fielding calls from Radio 1 through Radio 5 on the same day as he begged thieves to at least give the five thousand pies to charity. And of course the blackmail era of two-year waiting lists after The Black Swan went viral.Tommy also gives us a hilarious and honest tour of life running an expanding Yorkshire empire. From the diners flying in by helicopter to tell him his restaurant is not the best in the world, to the email from an industry “expert” advising him to shut down the General Tarleton immediately, to his strict refusal to cook vegan food because he cannot grow lemons on the farm, the stories land one after another. We dig into Yorkshire pub culture, his dream blowout dinners, his disdain for truffle, and the perfection of a proper Sunday roast at The Abbey Inn. This is Tommy Banks in full flow: sharp, grounded, funny, straight talking, wildly inventive, and endlessly proud of his little corner of Yorkshire. A genuine must-listen.--------Please leave us a great rating and a comment and share it with your friends - it really helps us grow as a show.If you're in the industry and are looking for the greatest POS system in the world than look no further -as Blinq are tearing up the rulebook—no long-term contracts, no hidden fees, and no per-device charges.Just £69 a month for unlimited devices and 24/7 UK-based support that's always there, in person when you need it.Built for hospitality, by hospitality, blinq is the fastest, easiest POS system on the market—so intuitive, anyone can use it. And while others take weeks to get you up and running, with blinq, you're live in just 2 hours.Join the hospitality revolution today & use the code GOTOBLINQ to get your first month free - https://blinqme.com Hosted on Acast. See acast.com/privacy for more information.

 In this episode of The Cancer Assist Podcast, Dr. Bill Evans welcomes Dr. Oren Levine, medical oncologist and associate professor at McMaster University, to explore the importance of serious illness conversations and the meaningful discussions that help patients, families, and healthcare teams navigate complex decisions with clarity and compassion.This conversation unpacks defines what a serious illness is and how structured conversations can improve patient understanding, reduce anxiety, and support patient care. Dr. Levine also shares insights on the Serious Illness Care Program being implemented at the Juravinski Cancer Centre, the evidence behind it, and how it empowers both clinicians and patients.Whether you're a patient, caregiver, or healthcare professional, this episode offers practical, human-centered perspectives on improving communication through all stages of cancer care. 

Do you ever feel anxious about your health?

It's getting harder for immigrants to win release from custody, even when they're in dire health.

Send us your feedback — we're listeningIsaiah 53 : 5 (NIV) — By His Stripes We Are Healed | Global Prayer for Healing from Cancer and Serious IllnessIsaiah 53 : 5 NIV — By His Stripes We Are Healed | Global Prayer for Healing from Cancer, Serious Illness and Chronic Disease | Reverend Ben Cooper | RB Christian Radio London | DailyPrayer.uk PodcastScripture (NIV):“But he was pierced for our transgressions, he was crushed for our iniquities; the punishment that brought us peace was on him, and by his wounds we are healed.” — Isaiah 53 : 5 (NIV) Recorded live in London, England — Reverend Ben Cooper leads a global intercession for those fighting cancer and serious illness, declaring the healing power of Christ.Across the world, millions search “prayer for healing from cancer,” “God heal me,” and “by His stripes I am healed.” Isaiah 53 : 5 is the most quoted verse in healing ministries worldwide — the heartbeat of faith for those believing for miracles. This scripture is the foundation for countless podcasts and global devotionals focused on divine healing. When sickness shakes our bodies, God's Word stands as our unchanging truth: by the wounds of Jesus Christ, healing has already been secured.In hospitals, homes, and battlefields of the body, millions are calling on the name of Jesus. Through the airwaves of Spotify and Apple Podcasts, faith is rising. Healing is not a myth of the past but a miracle for today. Where medical hope ends, spiritual faith begins. By His stripes, every cell, organ, and system can be made new. Christ bore the pain so we could bear the peace.Reverend Ben prays for tumours to shrink, blood to stabilise, lungs to breathe freely, and bones to strengthen. This global prayer connects believers in a chorus of faith that transcends borders and time. The same Jesus who healed in Galilee still heals today.10 Global Prayer Points 1 Prayer for healing from cancer. 2 Prayer for healing from serious illness. 3 Prayer for faith during treatment. 4 Prayer for family of the sick. 5 Prayer for healing after surgery. 6 Prayer for God to destroy tumours and disease. 7 Prayer for miracle healing through Jesus. 8 Prayer for peace in hospital rooms. 9 Prayer for restoration of health and hope. 10 Prayer to believe Isaiah 53 : 5 for complete healing.Life ApplicationSpeak Isaiah 53 : 5 daily — Support the showFor more inspiring content, visit RBChristianRadio.net — your home for daily devotionals, global prayer, and biblical encouragement for every season of life. We invite you to connect with our dedicated prayer hub at DailyPrayer.uk — a place where believers from every nation unite in prayer around the clock. If you need prayer, or would like to leave a request, this is the place to come. Our mission is simple: to pray with you, to stand with you, and to keep the power of prayer at the centre of everyday life. Your support through DailyPrayer.uk helps us continue sharing the gospel and covering the nations in prayer. You can also discover our ministry services and life celebrations at LifeCelebrant.net — serving families with faith, dignity, and hope. If this devotional blesses you, please consider supporting our listener-funded mission by buying us a coffee through RBChristianRadio.net. Every prayer, every gift, and every share helps us keep broadcasting God's Word to the world.

Send us a textVisit drbobbylivelongandwell.com to sign up for his free October 2nd workshop on how to focus your energy on the habits that truly improve health and longevity—without making it your full-time job.In this deeply personal episode, Dr. Bobby reflects on his wife's cancer diagnosis and shares eight powerful lessons for anyone navigating the uncertainty of a serious illness. With insights from Dr. Helen Eshed, a board-certified gynecologic oncologist and Gail's treating physician, this conversation blends personal experience with expert guidance to help you feel more prepared, empowered, and informed—whether for yourself or someone you love.Together, they discuss when and why to seek a second opinion, including the importance of trusting your gut and asking your doctor how frequently they handle cases like yours. Dr. Bobby emphasizes the importance of finding a quarterback—a single provider who can oversee and coordinate all aspects of care, a role often filled by the medical oncologist or, in fortunate cases like Gail's, by a specialist like Dr. Eshed who guides every step of the journey. They explore the nuanced role of the primary care physician, who may not lead cancer care but is critical in managing other chronic conditions and general health during treatment.Dr. Bobby and Dr. Eshed also confront the flood of non-evidence-based treatments patients often encounter. Supplements, restrictive diets, and alternative therapies may be well-intentioned, but many lack credible evidence and can even interfere with medical treatments. Dr. Eshed underscores the importance of open communication with your doctor to discern helpful integrative therapies—such as acupuncture or massage—from those that may be harmful. If you're unsure, bring it to your physician and evaluate together.Another theme they unpack is the human need for agency during illness. Dr. Bobby highlights a randomized controlled trial in colon cancer survivors showing that a structured exercise program led to a 28% improvement in recurrence-free survival over eight years. This suggests that lifestyle changes like physical activity can make a real difference, even after diagnosis. But as he cautions, not everything promising on the internet is supported by research—so choose wisely and stay grounded in science.They also touch on the emotional and spiritual dimensions of illness. From the rollercoaster of diagnoses to unexpected rituals like a gratitude ceremony for Gail's uterus, Dr. Bobby emphasizes the value of community, spiritual support, and patient-centered rituals that help bring meaning to the process. Resources like survivorship counseling and disease-specific nonprofits can offer both information and connection during the journey.Finally, they discuss the often-overlooked financial impact of serious illness. With treatments like surgery and immunotherapy costing thousands—even hundreds of thousands—of dollars, Dr. Bobby encourages listeners to proactively ask about costs, insurance coverage, and out-of-pocket maximums to avoid being blindsided.Takeaways:Ask the right questions early—about your diagnosis, treatment options, prognosis, and whether your doctor has experience with your specific condition.Look for credible, evidence-based interventions that support your care rather than distract from it—especially when you're tempted to chase internet cures.Build a strong, multi-layered support system—medical, emotional, spiritual, and financial—to help you weather the journey ahead with resilience and clarity.Visit drbobbylivelongandwell.com to sign up for his free October 2nd workshop on how to focus your energy on the habits that truly improve health and longevity—without making it you

One phone call from the doctor… one unexpected diagnosis… and suddenly, life feels like it has been turned upside down. Sickness has a way of not just attacking our bodies but also our peace of mind and our faith. The fear of serious illness can be one of the deepest valleys we walk through, leaving us asking, ‘Where is God in this?'   Watch this message on the Authentic Life Fellowship Facebook or YouTube channel. If you "like" our page, you will receive a notification when we go live each Sunday at 9 and 10 a.m. CDT.   Pastor Jimmy's teaching notes are available upon request. Please email him at authenticlifefellowship@gmail.com.

Often misunderstood as end-of-life care, palliative care is actually about improving quality of life at any stage of serious illness. In this episode of BackTable Urology, Dr. Ashwin Kotwal, a geriatrician and palliative care physician at UCSF, and Dr. Pauline Filippou, a urologic oncologist at Kaiser Permanente in Northern California join hosts Dr. Gina Badalato and Dr. Lindsay Hampson to discuss the importance of palliative care in the field of urology. --- SYNPOSIS The episode covers how palliative care can improve quality of life for patients with serious illnesses, the challenges and opportunities of integrating palliative care into urology practice, and specific training resources and frameworks for effective communication and symptom management. From addressing common misconceptions to providing practical advice on implementing palliative care, this episode is an essential guide for trainees and urology professionals looking to deepen their understanding of palliative care and enhance their practice. --- TIMESTAMPS 00:00 - Introduction03:04 - Understanding Palliative Care04:43 - Misconceptions and Communication Strategies07:45 - Integrating Palliative Care in Urology10:26 - Collaborative Approaches and Multidisciplinary Teams15:48 - Training and Education for Trainees20:25 - Effective Communication Techniques28:18 - Impact of Palliative Care34:33 - Final Thoughts and Takeaways --- RESOURCES Center to Advance Palliative Care website:https://www.capc.org/ AUA White Paper: https://www.auanet.org/documents/guidelines/white%20papers/postoperative.pdf VitalTalk:https://www.vitaltalk.org/ Eliciting the Patient's Agenda- Secondary Analysis of Recorded Clinical Encounters: https://link.springer.com/article/10.1007/s11606-018-4540-5 Family Meetings on Behalf of Patients with Serious Illness: https://www.nejm.org/doi/full/10.1056/NEJMvcm1913056

Should you be worried about mosquito bites and serious illness? Guest: Dr. Moliehi Khaketla, medical health officer for VCH Learn more about your ad choices. Visit megaphone.fm/adchoices

In this insightful conversation, Susan Bauer-Wu shares learnings from her personal journey—from oncology nursing to serving as president of the Mind & Life Institute (a non-profit founded by the Dalai Lama to bridge science and contemplative wisdom)—and what it means to weave inner healing with planetary healing. With profound gentleness and wisdom, she speaks of grief, the impermanence of life, and the role of feedback loops—ecological and emotional—in either accelerating destruction or catalyzing healing. Together, we explore the potential within a single seed to transform despair into nourishment, and disconnection into belonging. Susan offers reflections on slowing down, connecting with the Earth, and living in a way that honors our shared future. We delve into the power of local action, the grief of biodiversity loss, and how healing our relationship with nature is inextricably tied to our collective well-being. -------------------------------------------

News of President Biden's prostate cancer diagnosis raised both awareness and questions about how and when to communicate about a serious illness. How can patients access guidance and resources when it comes to understanding their emotions, while also sometimes needing to navigate those of friends and family? What is the role of supporters and caregivers? Our guests specialize in helping patients with these questions. They join us to share their expertise. In studio: Ronald Epstein, M.D., professor of family medicine, oncology, and medicine (palliative care) at the University of Rochester Medical Center Supriya Mohile, M.D., geriatric oncologist and professor in the Departments of Medicine, Hematology/Oncology; Surgery, Cancer Control; and the Cancer Center; and vice chair for academic affairs in the Department of Medicine at the University of Rochester Medical Center Abby Squicciarini, LMSW, oncology social work supervisor at Lipson Cancer Institute

Check out our latest podcast on goals of care conversations and advance care planning for paediatric patients created by Sahaj Puri, a second year medical student at McMaster University, along with Dr. Humphreys, a palliative care pediatrician at McMaster University.  This podcast is based on the CPS position statement and its purpose is to review the importance of goals of care and advance care planning conversations within the pediatric populations. These conversations can be difficult and there can be a tendency to avoid having these difficult conversations. This podcast will explore effective strategies to facilitate effective advance care planning and goals of care conversations There are no conflicts of interest to disclose by the authors.

How can we embrace tenderness and self-compassion when we or those we love face serious illness? Susan Bauer-Wu, author of Leaves Falling Gently, shares how existential health challenges can be catalysts for growth, resilience, and becoming more human. 

Parental intuition can predict child's serious illness before doctors. That's according to new research published in the journal Lancet Child and Adolescent Health. We discuss these findings with Monaghan Based GP Illona Duffy.

We've covered psychedelics on the podcast before—first in 2019 with Ira Byock, where we explored their potential role in medicine, and then again in 2023 with Stacy Fischer, Brian Anderson, and Theora Cimino, focusing on the reasons to approach psychedelic use in patients with caution. In today's episode, we're taking a closer look at the current state of the science around one specific psychedelic: psilocybin. We'll discuss three recent clinical trials involving patients with serious illness, joined by our guests James Downar, Ali John Zarrabi, and Margaret Ross.  We begin with a refresher on psilocybin—what it is, how it might work, what conditions it may help treat (including demoralization), and how it's typically administered. What makes this episode especially compelling is our deep dive into the three studies, which highlight two different approaches to using psilocybin: daily microdosing, similar to traditional antidepressants, and a more intensive model known as psilocybin-assisted therapy. This latter approach involves three structured phases—preparation, the dosing session, and post-session integration with trained therapists.

Dr. Marshall Gillette discusses palliative care, who can benefit from it, what it looks like in practice, and more.

Thinking about talking to children if you or a close loved one has been diagnosed with a serious illness may feel very difficult and it's completely understandable to want to protect them from pain. However, we know that being open and honest is important for their mental health. Professor Louise Dalton joins us to chat about her work on this important issue, one which touches many families. It also contains advice for schools supporting pupils.

The Jouieanne Fajardo Story - Part 2Nakakilala si Jouieanne sa Panginoon sa pamamagitan ng kaniyang lola. Ito ang naging daan upang madali niyang napatawad ang mga taong umabuso sa kaniya. Ngunit, sa paglalim ng relasyon ni Jouieanne sa Panginoon, isang pagsubok naman ang kaniyang kinaharap. Ano nga ba ito? Support CBN Asia today!https://www.cbnasia.com/giveSupport the show

Hearing the news that your dog has a serious or life threatening illness can be incredibly hard to manage, both emotionally and practically. In this episode I give some ideas to help with both of those things, so that hopefully you can take some pressure off if you're going through this right now.1. Important Links from this episode:If you'd like my support on your journey with your dog, please visit www.pawsupdogs.comI offer:- Self-paced online courses and a membership for dog guardians and trainers-  Digital 1:1 Trauma informed dog assessments for dog guardians and business assessments for dog trainers- Higher level mentorship for dog guardians and trainers3. To Join Canine Connection (my training and support membership for BOTH ends of the lead, please click here4. I love answering your listener questions so if you have a question for me, please click here to submit it and I might just answer it on the podcast!------------------------------------------------------------------------Here are some other resources available for you and your dog:1. To register for one of our behavioural workshops (for in depth support on everything from reactivity, recall, separation anxiety, leash walking, car travel, vet visits, puppies and more) please click here2. To join our free facebook group click here3. Are you a dog professional? Check out our podcast for pet pros here** Come and see us at www.pawsupdogs.com** Join our private facebook group. Click here** Follow us on instagram @pawsupdogstraining

On Wednesday's Morning Focus, Alan Morrissey was joined by Tommy Corbett from Carey Corbett Financial Solutions. This week, Tommy provided Alan and our Morning Focus listeners with advice on Life Insurance and Serious Illness Insurance.

What is the difference between Palliative Care & Hospice, and why important to discern the difference?! Dr. Kathleen Lindell of the Medical University of South Carolina joins the show to discuss why Palliative Care can be such an important piece of both the patient and caregivers role in the ILD journey. It's the 'Pulmonary Fibrosis' podcast! Brought to you the Wescoe Foundation for Pulmonary Fibrosis and the Pennsylvania IPF Support Network! Find this podcast wherever you get your podcasts! Are you interested in helping advance PF research? If so, consider joining a workgroup! Visit wescoe.org or pfpatientengagement.org for more details!See omnystudio.com/listener for privacy information.

ShownotesWhen we lose a loved one, it is often thought of as the end of their life and, therefore, the end of them being present in our lives. The pain and suffering that come along with the grief and sorrow tend to make us feel as though they are gone forever. But what if we changed the way we look at death? What if we take a different perspective by looking at it as a new beginning rather than the end? After all, if we truly believe death does not get the final word, we must maintain hope that in dying, our loved ones will be restored to their glory in Heaven, right?Our GuestSr. Maria of the Trinity was born in Oklahoma and grew up in Minnesota. Blessed with a wonderful Catholic family, she responded to God's call to consecrated life. She has degrees in Philosophy from the University of Dallas, Nursing from the University of San Francisco, and Hospice and Palliative Care from the University of Paris. Responding to a call within her call 12 years ago, she began the Gospel of Life Dwellings in Oklahoma and Texas to care for those in need at the end of their life. Now, as an emerging Franciscan ecclesial family, the Gospel of Life Disciples are beginning dwellings in Georgia and Guatemala. The members seek a deep prayer life and live the corporal and spiritual works of mercy with the elderly and terminally ill on their journey home to God.Links from the show A Birth Unto Hope: Reflections on the Gospel of Life at Death The nun who left France to create special homes for the elderly poor in the U.S. Gospel of Life Dwellings (GOLD) Intensive Caring: A Practical Handbook for Catholics about Serious Illness and End-of-Life Care by Natalie King, MDScripture The Gospel of the Good Shepherd, Matthew 18:12 Deuteronomy 26:55Prayer for :The deceased residents of G.O.L.D. and Brett**Since the recording of this episode, Brett has since passed. Our deepest condolences his beloved friends and family.Journaling Questions What touched you the most from this week's episode? Have you ever spent time with someone through their journey at the end of their life? How did it impact you? Have you ever experienced anticipatory grief? What is your mourning Glory?Be sure to check out our website, www.mourningglorypodcast.com. There you will find links to all of our episodes as well as resources to help you on your journey.

In this episode of TCN Talks, host Chris Comeaux interviews Bree Owens, a licensed clinical social worker and co-founder of The Holding Group. They discuss Bree's journey in the healthcare field, particularly in palliative care. Bree shares insights on having learned the importance of having meaningful conversations with patients and families about their care options, which led her to the unique model of The Holding Group.  Her organization has held space, hence the name The Holding Group, for a patient-centered approach, helping patients and their families find the right care at the right place at the right time. Bree emphasizes the significance of informed consent and the role of social workers in facilitating these discussions to improve patient outcomes and satisfaction.Chris and Bree also delve into the evolution and current state of palliative care, highlighting the challenges and innovations in the field.  Bree emphasizes the importance of integrating social work into healthcare, particularly in serious illness and dementia care.  They also discuss the upcoming GUIDE model, which aims to provide comprehensive support for dementia patients and their caregivers.This is a great listen for staff, leaders, and Boards of Hospice and Palliative Care organizations.  Join us, this is timely and relevant.Guest: Bree Owens, Licensed Clinical Social Worker and Co-Founder of The Holding Group Host: Chris Comeaux, President / CEO of TCN/TCGTeleios Collaborative Network / https://www.teleioscn.org/tcntalkspodcast

Today we're going to be taking about being financially prepared for life events. This is important because it's so easy to make progress with your finances, only to have the rug pulled out from under your feet by something unexpected. Or even something that IS expected… Shownotes: https://meaningfulmoney.tv/YC3 Everything You Need To Know 03:00 Life events – like what? 03:55 Marriage 04:43 Having a Child 05:09 Buying a Home 05:24 Career Advancement 06:02 Starting a Business 07:47 Receiving an Inheritance 08:44 Job Loss or Career Change 09:10 Divorce or Separation 10:04 Serious Illness or Disability 10:41 Death of a Family Member 11:36 Caring for Aging Parents 12:25 Children's Education Costs 12:53 Relocation 13:45 Retirement 14:14 Unexpected Large Expenses 15:15 Being prepared means mastering the 3F's – Foundation, Forward-looking, Flexibility.   Everything You Need To Do 17:03 Foundation – Emergency fund, workplace benefits and personal insurance. LifeSearch - affiliate agreement. 28:38 Forward-looking – consider what may happen and what is likely to happen. 43:02 Flexible – keep things flexible so that we can be able to make changes as needed. 51:47 If big events happen – take your time, seek help.   53:35 Podcast Review

Unlock the transformative potential of palliative care as we sit down with Torrie Fields, the innovative founder and CEO of TFA Analytics. Torrie's unique blend of expertise as a health economist and actuary is driving new approaches to palliative care, particularly through the use of data analytics. Join us as Tori shares her journey from a C-TAC conference meeting to reshaping Medicare guide programs and creating comprehensive care models for patients with serious illnesses. Her insights are changing the way healthcare providers think about aligning patient care with personal goals and reducing unnecessary treatments.Explore the future of palliative care reimbursement and the significant strides being made by pioneering figures like Janet Bowles and Diane Myers. With an eye on 2025, we delve into the exciting developments in healthcare policy and innovative payment models. Discover how collaborative efforts with CMS are shaping a new era in community-based palliative care, and why hospice leaders must urgently adapt to these changes. We dive into the bipartisan nature of palliative care and the importance of educating health insurance companies on its value, ensuring a seamless integration into standard healthcare practices.Witness the evolution towards a co-management model in palliative care, as specialists and primary care providers navigate the challenges of large patient panels. Torrie and I discuss the need for a multidisciplinary approach that supports overwhelmed providers while delivering tailored care. We explore the complexities of integrated healthcare systems and the essential role of palliative care in improving patient experiences and outcomes. Through engaging stories and thought-provoking discussions, this episode celebrates the visionary leaders pushing the boundaries of healthcare solutions, ensuring patients receive the right care at the right time.Teleios Collaborative Network / https://www.teleioscn.org/tcntalkspodcast

Founded by actor/philanthropist Paul Newman in 1994 to “press play” for children affected by serious illness, Barretstown serves thousands of young people and families at its magical County Kildare castle and beyond with impactful programs across Ireland and the UK.Our guest Dee Ahearn has been the driving force behind the Barretstown success story, joining in 2010 as CEO after an international career in marketing and communications with a stint as chairperson of the Make A Wish Foundation Ireland.In this holiday episode Dee shares heartwarming stories of transformation, saying:“Many parents will say that when they're on the drive out the gates of Barretstown, the conversation with their children is when can we come back? Why do we have to leave? This is better than Disney World! And the teenagers want to know how quickly I can come back, what age I need to be to become a volunteer. ”But the serious fun of swimming, canoeing, horseback riding, arts & crafts, and putting on plays rests on a foundation of solid governance, a quality that attracted our additional guest Tony Dunne, Bank of Ireland's US CFO, COO & US Country Manager, to chair the friend-raising and fundraising-focused Barretstown Foundation USA. The conversation underscores the importance of community and international support, including the cross-Atlantic support from American families and volunteers, and wraps with Dee's invitation to you to get involved and help Barretstown provide even more “serious fun.” LinksBarretstownWebsiteDonateLinkedInInstagramFacebookYouTubeTwitterXTikTokBarretstown Foundation USAInstagramFacebook Year End AppealDee AhearnLinkedInTony Dunne, CFO, COO & US Country Manager at Bank of Ireland USLinkedInEpisode Details: Season 6, Episode 22; Total Episode Count: 102

Denial. Substance use. Venting. Positive reframing. Humor. Acceptance. All of these are ways we cope with stressful situations. Some we may consider healthy or unhealthy coping strategies, but are they really that easy to categorize? Isn't it more important to ask whether a particular coping behavior is adaptive or not for a particular person,in a particular time or situation? We are going to tackle this question and so many more about coping on this week's podcast with Dani Chammas, a recurring GeriPal guest, psychiatrist, and palliative care doc at UCSF, and Amanda Moment, a Palliative Care Social Worker at Brigham and Women's Cancer Center. There are so many take-home points for me on this podcast, including this one on a framework for assessing coping in serious illness: nonjudgmentally observe their coping wonder about the impacts of their coping prioritize helping patients maintain their psychological integrity mindfully think through how we can serve their coping in ways that they can tolerate, always calibrating based on the person, the moment, and the setting in front of us. Here are some more resources we've discussed in the podcast Dani's NEJM article on coping: “Should I Laugh at That? Coping in the Setting of Serious Illness” Dani's GeriPal podcast with us on “Improving Serious Illness Communication By Developing Formulations” A great journal article on “Formulation in Palliative Care: Elevating Our Potential for Therapeutic Communication” A study on how palliative care may work by enhancing patients' ability to access adaptive coping - “Role of Patient Coping Strategies in Understanding the Effects of Early Palliative Care on Quality of Life and Mood ** NOTE: To claim CME credit for this episode, click here **  

Were you born under a lucky Star? Where's Jupiter in your Astro chart? Dean Radin Real Magic https://amzn.to/4d4YuFp   Links mentioned: Kelli Fox old site https://web.archive.org/web/20130602161751/http://theastrologer.com/about-kelli-fox/index.php Kelli old youtube https://www.youtube.com/@KTtheAstrologer/ Kelli new site https://astrology.tv/ Kepler College https://www.keplercollege.org/   Alan Vaughan Cap Ascendant, Sun conjunct Jupiter in Cap in 12th all conjunct Asc Moon Cancer in 7th   Solar Arc chart for starts chanelling Li Sung Death transits   Marie Currie Sagittarius Asc, Sun conjunct Moon in Sagittarius in 12th Very clustered chart! releases popular single Kelli Fox Leo Asc, Sun Leo conjunct Jupiter to Asc/first house Moon in Sagittarius in 5th house   'near death' Serious Illness

Host: Sharon Brubaker, Grief Specialist Description: Welcome to Healing Starts with the Heart, where grief meets resilience. In this deeply personal episode, host Sharon Brubaker shares her journey through a serious health diagnosis and its emotional impact. Sharon dives into the unexpected grief that accompanies serious illnesses or injuries, offering insights, support, and a heartfelt personal story to guide listeners through their own experiences. Episode Highlights: Introduction Sharon introduces the topic and its personal significance. The transformative journey of coping with a serious illness or injury. Personal Story Sharon recounts her experience from April 7th, 2024. The initial symptoms, misdiagnoses, and eventual discovery of a 95% blockage in the widowmaker of her heart. The emotional rollercoaster: fear, numbness, frustration, and realization. The Unique Experience of Women The differences in heart attack symptoms between men and women. Sharon's persistence in seeking the correct diagnosis despite normal test results. The importance of advocating for oneself in the medical field. Emotional Impact The range of emotions faced: fear, worry, sadness, and numbness. Sharon's fear of leaving her husband behind. The shift from fear of death to acceptance and planning. Coping Mechanisms The role of journaling in processing emotions and thoughts. Sharon's strategy of writing down important information for her family to reduce anxiety. The calming effect of preparedness. Grief and Loss The grief associated with losing health and the old way of life. Feeling powerless, isolated, and facing one's own mortality. The importance of pausing and reflecting on emotions and thoughts. Journal Questions for Reflection Primary emotions experienced due to illness or grief. Intensity and physical location of these emotions in the body. Sharon encourages listeners to use these questions to gain deeper insights into their emotional state. A Message to Women Encouragement to seek medical help if something feels off. Advocating for better understanding and treatment of women's heart health. Griever's Guide and Free Videos Sharon shares the story of Austin's loss and her mission to understand grief. Free resources: The Griever's Guide ebook and videos on various grief-related topics. Closing Thoughts Sharon's gratitude for having more time and her dedication to supporting others through grief. A reminder that Sharon sees, understands, and supports her listeners in their healing journey. Resources: Download The Griever's Guide Call to Action: If you've been touched by today's episode, please share it with someone who might benefit from hearing Sharon's story. Subscribe to Healing Starts with the Heart for more episodes on grief, healing, and resilience. Contact Information: Website: The Grief School Email: info@thegriefschool.com Follow Sharon on Facebook and Instagram Thank you for joining us on this journey. Remember, you are not alone in your grief, and together we can find healing.

“Anxiety is a lot like a toddler. It never stops talking, tells you you're wrong about everything, and wakes you up at 3 a.m.”  I'm not sure who wrote this quote, but it feels right to me. We've all had anxiety, and probably all recognize that anxiety can be a force of action or growth but can also spiral to quickly take over our lives and our sleep. How, though, do we navigate anxiety and help our patients who may end up in the anxiety spiral that becomes so hard to get out of? On today's podcast, we've invited Alex Gamble and Brianna Williamson to talk to us about anxiety. Alex is a triple-boarded (palliative care, internal medicine, and psychiatry) assistant professor of medicine at Stanford. Brianna is one of UCSF's palliative care fellows who just completed her psychiatry residency. We start by defining anxiety (harder said than done), move on to talking about when it becomes maladaptive or pathologic, and how DSM5 fits into all of this. We then walk through how we should screen for anxiety and how we should think about a differential.  Lastly, we talk about both non-pharmacologic and pharmacologic treatments. It's a lot to cover in 45 minutes, so for those who like to take a deeper dive, here are some of the references we talked about: Alex Sable-Smith's great BATHE video on YouTube:  Two books that Alex Gamble often recommends to patients can help build up your capacities to sit with anxiety (per Alex, both are from an Acceptance and Commitment Therapy framework) Things Might Go Terribly, Horribly Wrong: A Guide to Life Liberated from Anxiety The Reality Slap  

I always find cachexia in serious illness puzzling. I feel like I recognize it when I see it, but I struggle to give a clear definition or provide effective ways to address it. In today's podcast, we had the opportunity to learn from a renowned expert in palliative care, Eduardo Bruera, about cachexia and anorexia in serious illness. Eduardo established one of the first palliative care programs in 1984, created the Edmonton Symptom Assessment Scale (ESAS), and significantly contributed to the evidence base for palliative care symptoms that many of us rely on daily. During our discussion with Eduardo, we delved into how we can define cachexia and anorexia, why they occur in conditions like cancer, how to assess for them, and explored the interventions that are helpful and those that are not in the treatment of these conditions.

As Eric notes at the end of today's podcast, we talk about many difficult issues with our patients.  How long they might have to live. Their declining cognitive abilities. What makes their lives meaningful, brings them joy, a sense of purpose.  But one issue we're not as good at discussing with our patients is sexual health. On today's podcast Areej El-Jawahri, oncologist specializing in blood cancers at MGH, says that sexual health is one of the top if not the top issue among cancer survivors.  Clearly this issue is important to patients.  Sharon Bober, clinical psychologist at DFCI, notes that clinicians can get caught in an anxiety cycle, in which they are afraid to ask, don't ask, then have increased anxiety about not asking.  Like any other conversation, you have to start, and through experience learn what language is comfortable for you.  Don Dizon, oncologist specializing in pelvic malignancies at Brown, suggests speaking in plain language, starting by normalizing sexual health issues, to paraphrase, “Many of my patients experience issues with intimacy and sexual health. Is that an issue for you? I'm happy to talk about it at any time.”  All guests agree that clinicians feel they need to have something they can do if they open Pandora's box.  To that end, we talk about practical advice, including: The importance of intimacy over and above physical sexual function for many patients Common causes and differential diagnoses of sexual concerns in patients with cancer and survivors Treatments for erectile dysfunction - first time the words “cock ring” have been uttered on the GeriPal Podcast - and discuss daily phosphodiesterase 5 inhibitor therapy vs prn The importance of a pelvic exam for women experiencing pain What is “pelvic physical therapy?” Treatments for vaginal dryness and atrophy ACS links, NCCN links, Cancersexnetwork, and a great handout that Areej created And I get to sing Lady Gaga, also a first for GeriPal!  And let me tell you, there's nothing like the first time (sorry, I couldn't help it!).

Learn how two creators each facing serious illness came together to produce an award-winning masterpiece. My guests Christina Holbrook and Walker Vreeland are joining me today to talk about their personal stories of serious illness and facing mortality in the midst of working on a creative project. Numerous synchronicities and little miracles came together to… Continue reading Ep. 457 Creativity and Serious Illness with Christina Holbrook and Walker Vreeland

Dealing with a serious illness is one of life's most difficult challenges. It's understandable to react with panic, fear and anxiety and even to ask “why me?” Managing illness or injuries is stressful, and it most certainly will affect your mood and outlook. Call 1-800-DR-LAURA / 1-800-375-2872 or make an appointment at DrLaura.comFollow me on social media:Facebook.com/DrLauraInstagram.com/DrLauraProgramYouTube.com/DrLaura

Dealing with a serious illness is one of life's most difficult challenges. It's understandable to react with panic, fear and anxiety and even to ask “why me?” Managing illness or injuries is stressful, and it most certainly will affect your mood and outlook.Call 1-800-DR-LAURA / 1-800-375-2872 or make an appointment at DrLaura.comFollow me on social media:Facebook.com/DrLauraInstagram.com/DrLauraProgramYouTube.com/DrLaura

The CDC's Guideline for Prescribing Opioids for Chronic Pain excludes those undergoing cancer treatment, palliative care, and end-of-life care. In doing so, it seems to give the impression that pain seen in cancer is inherently different than pain seen in other conditions and that those with cancer may not have the same risk for opioid use disorder as compared to other conditions. Today's podcast tackles these issues and more with three amazing guests: Katie Jones, Jessica Merlin, and Devon Check.   We start off the conversation by talking about whether patients with cancer and cancer pain are really that different, and their paper that was just published on January 11th in JAMA Oncology showing that substance use disorder is not uncommon in individuals with cancer. After discussing screening options for substance use disorder, we go on to talk about both the treatments for it and the issues that arise.  In particular, we talk about Katie's and Jesica's paper in NEJM titled “Juggling Two Full-Time Jobs — Methadone Clinic Engagement and Cancer Care,” which described the difficulty in managing cancer pain and methadone for opioid use disorder. Lastly, we discuss Katie's paper on substance use disorder in an aging population and how one can incorporate the 5 Ms (ie, matters most, medications, mind, mobility, and multicomplexity) into a framework for age-friendly care for older adults with substance use disorder. If you want to do a deeper dive, here are some other references we talk about in the podcast: Previous podcasts on substance use disorder Buprenorphine Use in Serious Illness: A Podcast with Katie Fitzgerald Jones, Zachary Sager and Janet Ho  Substance Use in Older Adults: A Podcast with Ben Han  Palliative Care, Chronic Pain, and the Opioid Epidemic: GeriPal Podcast with Jessie Merlin    Expert consensus-based guidance Expert consensus-based guidance on approaches to opioid management in individuals with advanced cancer-related pain and nonmedical stimulant use Consensus-Based Guidance on Opioid Management in Individuals With Advanced Cancer-Related Pain and Opioid Misuse or Use Disorder Expert Panel Consensus on Management of Advanced Cancer-Related Pain in Individuals With Opioid Use Disorder  

Drs Bethany Uhl and Megan Schaefer visit the studio as we explore Flying Horse Farms: A SeriousFun Camp for Kids with Serious Illness. Learn what it takes to offer a summer camp for children with chronic and complex conditions… and discover how your family can support their work. We hope you can join us!

Speech Language Pathology: Continuing Education Courses by SLP Nerdcast Course Title: SLPs Role in Palliative Care and How to Have Serious Illness ConversationsGet .1 ASHA CEU and view the full course landing page: https://courses.slpnerdcast.com/courses/slps-role-in-palliative-care-and-how-to-have-serious-illness-conversations-abje0127Earning Speech-Language Pathology CEUs Online is Simplified with SLP Nerdcast. On SLP Nerdcast you'll find SLP Continuing Education Courses, Masterclasses and Clinical Resources. To learn more about our services visit ▶ https://bit.ly/SLPNERDCAST To learn more about our membership and save 10% on your first year of membership visit ▶ https://bit.ly/SLPNerdcastMembership use code “YouTubeNerd” to save.Learning Objectives:1. Define palliative care2. Describe knowledge and skills specific to the SLP role that can benefit patients/caregivers/clinicians navigating serious illness3. Identify at least one communication tool that uses patient-tested, person-centered language as a framework for discussions about serious illnessReferences & Resources:Serious Illness Guide from Ariadne LabsAmerican Geriatrics Society statement re: feeding tubes in patients with advanced dementiaEAT-10MDADI Honeycomb Speech Therapy Motivational Interviewing Cheat Sheet

Sickness, grief, and loss are inevitable. All of us will experience or walk with close loved ones through sudden loss, or the complexities of a serious or life-threatening illness.Jane Butler, our dear friend, graphic designer for Famous at Home, and Co-Founder of Near, joins us to talk about her husband's brain cancer, how they navigated two brain surgeries, and how she manages to continue to walk alongside him and her young kids as they face hard things.In this episode, Jane shares her deep passion and wisdom about the intersection of life, marriage, parenting, serious illness, and grief and her new passion as the co-founder of Near, an organization offering support for those going through difficult times. Here are some takeaways:When someone you love receives a diagnosis and you don't know what to doSupporting and organizing care for our hurting friends during a crisisHow to shy away from "toxic positivity"and not dismiss someone else's painThe best way to show compassion for someone experiencing a crisisHow to lead your young family in the midst of loss, grief, and difficult seasonsShow Notes:Learn more about Near:https://staynear.coApply now for The Leader's Heart Men's Cohort:https://www.famousathome.com/theleadersheartInterested in group coaching with Josh or Christi? Click here for interest form:https://www.famousathome.com/groupcoachinginterestOrder a copy of Famous at Home by Dr. Josh and Christi:https://amzn.to/3y1jJFzWatch this episode on YouTube:https://www.youtube.com/@FamousatHomepodcast